Clinical Documentation Integrity (CDI) - Audit & Education

ALEXIAN VILLAGE OF MILWAUKEE; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

A leading healthcare provider is seeking a Clinical Documentation Integrity Auditor/Educator to join their team. This full-time remote role involves auditing clinical documentation for compliance and providing education to improve practices. The ideal candidate will have extensive knowledge of coding guidelines, regulatory compliance, and a passion for mentoring others in the clinical documentation field.

Benefits

Paid time off (PTO)

Various health insurance options

Retirement benefits with employer match

Tuition reimbursement

Employee assistance programs (EAP)

Qualifications

• Clinical Documentation Prof. credential from the Association of Clinical Documentation Improvement Specialists.
• 2 years of experience or equivalent education.
• Proven ability to develop engaging education content.

Responsibilities

• Perform routine audits of CDI queries and documentation reviews.
• Develop CDI education programs and provide coaching.
• Present findings to leadership and suggest improvements.

Skills

Expert understanding of CDI best practices

Strong knowledge of DRG methodologies

Exceptional written and verbal communication skills

Proficiency with EHR systems

Analytical and detail-oriented skills

Education

High School diploma or equivalent

Associate's degree/Bachelor's degree

Tools

Epic

Iodine

3M

Nuance

Job description

Clinical Documentation Integrity (CDI) - Audit & Education

Join to apply for the Clinical Documentation Integrity (CDI) - Audit & Education role at ALEXIAN VILLAGE OF MILWAUKEE

Clinical Documentation Integrity (CDI) - Audit & Education

2 weeks ago Be among the first 25 applicants

Join to apply for the Clinical Documentation Integrity (CDI) - Audit & Education role at ALEXIAN VILLAGE OF MILWAUKEE

Details

• Department: Administration
• Schedule: Full Time, Days
• Location: Remote
  
  

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.

Responsibilities

The Clinical Documentation Integrety (CDI) Audit/Educator plays a dual role in promoting excellence across the Clinical Documentation Integrity program. As an auditor, this position is responsible for assessing the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDSs. As an educator, the role supports the professional development of the CDI team and provides provider-facing education to improve clinical documentation practices. This position serves as a subject matter expert in documentation standards, coding guidelines, regulatory compliance, and clinical best practices.

Key Responsibilities

Audit Functions:

• Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements.
• Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS).
• Identify trends, variances, and opportunities for improvement in CDI team performance.
• Maintain internal audit tools, track performance metrics, and present findings to leadership on a regular basis.
• Collaborate with coding and compliance teams to align audit criteria and resolve discrepancies.
  
  

Education Functions

• Develop and deliver comprehensive CDI education programs, including onboarding, continuing education, and skills refreshers for CDSs.
• Provide one-on-one coaching for new or developing team members, based on audit findings or performance trends.
• Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices.
• Offer targeted documentation education to providers through presentations, individual feedback, and query response coaching.
• Support rollout of new coding or documentation guidance, EHR tools, and CDI initiatives across the enterprise.
• Participate in national or regional CDI education forums to maintain subject matter expertise and incorporate best practices.
• Provide just-in-time feedback to providers and support educational initiatives based on current trends or gaps.
  
  

Requirements

Licensure / Certification / Registration:

Required Credential(s)

• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
  
  

Education

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
  
  

Additional Preferences

• Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.
• Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance. Demonstrated ability to provide constructive feedback in a supportive, professional manner.
• Proven ability to develop engaging education content tailored to diverse audiences (clinical, coding, administrative).
• Exceptional written and verbal communication skills.
• Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).
• Analytical, detail-oriented, and solution-focused, with excellent organizational and time management skills.
  
  

#CDI25

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Medical Practices

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